{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T03:55:13Z","timestamp":1788580513734,"version":"build-2803163510"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T00:00:00Z","timestamp":1678838400000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Increasing utilization of a laparoscopic total extraperitoneal (TEP) approach for inguinal hernia repairs has led to rare complications. We describe a rare case of subcutaneous emphysema, pneumomediastinum and pneumothorax following a laparoscopic TEP inguinal hernia repair in a 29-year-old male. Mechanisms posited include extraperitoneal carbon dioxide migration via the retroperitoneal space and dissection along the fascia transversalis and endothoracic fascia anteriorly to enter the mediastinum. Intra-operatively the patient coughed vigorously, potentially propagating the extent of extraperitoneal gas dissection and exacerbating these complications. Given the potential morbidity, it is important for surgeons and anaesthetists to recognize these complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjad146","type":"journal-article","created":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T00:43:45Z","timestamp":1678841025000},"source":"Crossref","is-referenced-by-count":5,"title":["Pneumomediastinum and pneumothorax: a rare complication of laparoscopic total extraperitoneal inguinal hernia repair"],"prefix":"10.1093","volume":"2023","author":[{"given":"Lauren","family":"Wallace","sequence":"first","affiliation":[{"name":"Department of General Surgery, The Royal Melbourne Hospital , Parkville, Victoria , Australia"},{"name":"Department of Surgery, Wimmera Base Hospital , Horsham, Victoria , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya\u2019acov","family":"Leigh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Wimmera Base Hospital , Horsham, Victoria , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,3,14]]},"reference":[{"key":"2023031500161341300_","doi-asserted-by":"crossref","first-page":"385","DOI":"10.4103\/jmas.JMAS_34_21","article-title":"Pneumothorax as a rare complication during laparoscopic total extra-peritoneal inguinal hernia repair: a case report and review of the literature","volume":"17","author":"Papaconstantinou","year":"2021","journal-title":"J Minim Access Surg"},{"key":"2023031500161341300_","doi-asserted-by":"crossref","first-page":"rju106","DOI":"10.1093\/jscr\/rju106","article-title":"Unusual cause of pneumomediastinum in a laparoscopic extraperitoneal inguinal hernia repair","volume":"2014","author":"Teng","year":"2014","journal-title":"J Surg Case Rep"},{"key":"2023031500161341300_","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1111\/j.1445-2197.2005.03573.x","article-title":"Unusual complications of laparoscopic totally extraperitoneal inguinal hernia repair","volume":"75","author":"Lo","year":"2005","journal-title":"ANZ J Surg"},{"key":"2023031500161341300_","doi-asserted-by":"crossref","DOI":"10.4097\/kjae.2010.58.5.490","article-title":"Pneumothorax during laparoscopic totally extraperitoneal inguinal hernia repair - 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